ELLEN KENNEDY BARRIOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054748

License Status

CANCELLED

Business

Title

First Name

ELLEN

Middle

KENNEDY

Last Name

BARRIOS

Business Name

ELLEN KENNEDY BARRIOS MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60623

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/19/2009